ورقة عمل التمريض الباطني الجراحي: الجهاز الهضمي وما حول الجراحة والأورام مع الإجابات

What is lymphoedema?

1. AInflammation of the lymph nodes in the neck and armpits from a virus
2. BFluid in the lungs from heart failure
3. CSwelling from a broken bone in the arm
4. DSwelling from poor lymph drainage, for example after node removal

How is hepatitis B mainly spread?

1. AThrough touching door handles and shaking hands
2. BOnly by eating undercooked shellfish from polluted water
3. CThrough blood, sexual contact and from mother to baby
4. DOnly by coughing and sneezing

لماذا يُدخل أنبوب أنفي معدي غالبًا في انسداد الأمعاء؟

1. Aلتفريغ ضغط المعدة وتقليل التقيؤ
2. Bلإعطاء ملينات لإزالة الانسداد
3. Cلإعطاء تغذية غنية بالألياف مباشرة متجاوزة الانسداد
4. Dلقياس الضغط داخل الأمعاء

Which statement about pain relief in acute pancreatitis is correct?

1. AOpioids must never be used in pancreatitis
2. BPain relief should be withheld until the diagnosis is certain
3. COpioids can be used, and good analgesia is a priority
4. DOnly paracetamol may be given

ما دور تقييد الصوديوم والسبيرونولاكتون في التشمع؟

1. Aخفض أمونيا الدم وعلاج اعتلال الدماغ
2. Bزيادة فقد البوتاسيوم ومنع فرط بوتاسيوم الدم
3. Cرفع ضغط الدم وتحسين تدفق دم الكلى
4. Dتقليل احتباس الصوديوم والماء وضبط الاستسقاء

Why are many patients screened for MRSA before planned surgery?

1. ASo that surgery can be cancelled for all positive patients
2. BSo that carriers can be decolonised to reduce infection
3. CTo check whether the patient has had a flu vaccine
4. DTo decide which anaesthetic drug to use

At the end of an operation, the final count shows one swab missing. What should happen?

1. ATell the surgeon, search, and X-ray if it is not found
2. BClose the wound, as the swab was probably thrown away
3. CRecord the count as correct to avoid a delay
4. DLet the patient leave and search the theatre later

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

1. AIt makes the patient's potassium dangerously high
2. BIt causes the surgical wound to bleed more
3. CIt interacts with all general anaesthetic gases and stops them working
4. DIt raises the risk of ketoacidosis, even with near-normal glucose